The latest guidelines recommend endovascular thrombectomy (EVT) as the gold standard treatment approach for eligible patients with an acute ischemic stroke due to large vessel occlusion, but there is currently no robust randomized control data supporting its routine use in medium vessel occlusion (MeVO) strokes.  

In this podcast, stroke experts delve into current uncertainties surrounding the management of small- and medium-vessel strokes, namely optimal detection and treatment strategies. They discuss current guidelines, key debates, and ongoing randomized clinical trials assessing the efficacy of EVT in MeVO stroke.

With Johanna Ospel, MD, University of Calgary, Alberta, Canada; Nishita Singh, MD, University of Calgary, Alberta, Canada; and Jan Gralla, MD, Inselspital, University Hospital Bern, Bern, Switzerland.